Title 37, Chapter 7, Section 165
( 37-7-165)
(a) Mistreatment, neglect, or abuse in any form of any patient is
prohibited. Medication in quantities that interfere with the
patient's treatment program is prohibited. All medication,
seclusion, or physical restraints are to be used solely for the
purposes of providing effective treatment and protecting the safety
of the patient and other persons. (b) Physical restraints shall not be applied unless they are
determined by an attending physician, a psychologist involved in the
care and treatment of a patient, or a clinical nurse specialist in
psychiatric/mental health involved in the care and treatment of the
patient to be absolutely necessary in order to prevent a patient
from seriously injuring himself or others and are required by the
patient's medical needs. Such determination shall expire after 24
hours. An attending physician, a psychologist involved in the care
and treatment of a patient, or a clinical nurse specialist in
psychiatric/mental health involved in the care and treatment of the
patient must then make a new determination before the restraint may
be continued. Every use of a restraint and the reasons therefor
shall be made a part of the clinical record of the patient. A copy
of each such entry or a summary of such entry shall be forwarded to
the chief medical officer for review. A patient placed in physical
restraint shall be checked at least every 30 minutes by staff
trained in the use of restraints and a written record of such checks
shall be made. When the application of a restraint is necessary in
emergency situations to protect the patient from immediate injury to
himself or herself or to others, restraints may be authorized by
attending staff who must immediately report the action taken to the
physician and any psychologist involved in the care and treatment of
the patient. The facility shall have written policies and
procedures which govern the use of restraints and which clearly
delineate, in descending order, the personnel who can authorize the
use of restraints in emergency situations. (c) For the purposes of this Code section, those devices which
restrain movement, but are applied for protection from accidental
injury or required for the medical treatment of the patient's
physical condition or for supportive or corrective needs of the
patient, shall not be considered physical restraints. However,
devices used in such situations must be authorized and applied in
compliance with the facility's policies and procedures. The use of
such devices shall be a part of the patient's individualized
treatment plan. |